This week’s case is a 13-year-old Australian Shepherd with a history of acute lethargy. What are your findings?
Findings
There is retraction of the lung lobes and pleural fissure lines, consistent with pleural effusion. The cardiac silhouette is obscured on the lateral and dorsoventral projections. On a ventrodorsal projection, there is cardiac enlargement with an unusual contour on the left side. There is an alveolar pattern in the right middle lung lobe. ECG leads are visible on the thoracic walls.Differential Diagnosis
- Pleural and pericardial effusion
- Suspicion of heart mass (chemodectoma, hemangiosarcoma)